Business Office Manager – Hillcrest Firethorn

Location: Lincoln, NE
Service Line: Hillcrest Firethorn
Schedule: Full-Time

Hillcrest Health & Living is looking for a highly organized, detail-driven, and customer-focused Business Office Manager to join our leadership team at Hillcrest Firethorn in Lincoln, NE.

Hillcrest Firethorn provides post-acute rehabilitation and skilled nursing services in a modern, hospitality-focused environment. Our team works together to support guests, residents, families, and team members through high-quality care, strong communication, and dependable service.

At Hillcrest, our mission is simple: Inspiring people to live their best lives. As the Business Office Manager, you will play an important role in keeping the community’s financial and administrative operations organized, accurate, and moving forward.

What You’ll Do

As the Business Office Manager, you will manage key financial, administrative, and customer-service functions for Hillcrest Firethorn. You will be responsible for resident billing, accounts receivable, collection support, accounts payable, concierge-team oversight, and day-to-day business office operations.

You will:

Manage resident billing, accounts receivable, and collection-related activities.
Communicate with guests, residents, families, and responsible parties regarding account balances, payment expectations, insurance responsibilities, and financial obligations.
Handle sensitive financial conversations with professionalism, compassion, confidence, and appropriate follow-through.
Complete prepaid and private-pay collection activities, including follow-up after a guest has discharged.
Support Medicaid processes by assisting families with DHHS documentation, application follow-up, annual reviews, and caseworker communication.
Support Medicare- and Medicaid-related business office processes, documentation, tracking, and follow-up.
Manage resident trust accounts and related financial communication with residents and responsible parties.
Process daily bank deposits, census reporting, ancillary charge posting and reconciliation, and petty cash.
Complete accounts payable responsibilities through the electronic A/P system.
Assist with invoice questions, payment discrepancies, and vendor billing concerns.
Supervise, schedule, and provide day-to-day oversight for concierge team members.
Assist with front-desk and concierge coverage when needed.
Support community onboarding processes, including uniforms, name tags, packets, and other administrative needs.
Maintain business office calendars, administrative tracking, office supplies, copier needs, and emergency call-tree updates.
Assist guests and families with admission paperwork as needed.
Support customer-satisfaction survey processes and ensure follow-up items are completed timely.
Partner with community leadership and other departments while maintaining confidentiality, professionalism, and strong customer service.
Take ownership of assigned responsibilities and track open items through completion.

What We’re Looking For

We are looking for someone who is organized, accountable, and confident managing both financial details and customer-facing conversations.

The right candidate will be a strong multitasker who understands deadlines, pays close attention to detail, and can balance compassion with the confidence needed to discuss billing, payment expectations, and financial follow-up.

This is not an assistant role. It is a strong fit for a self-directed professional who can recognize what needs to be done, manage competing priorities, and keep the business office running without constant oversight.

Ideal candidates will have:

Experience in a business office, billing, accounts receivable, accounts payable, administrative operations, or a similar role.
Experience with Medicare and Medicaid processes strongly preferred.
Senior living, skilled nursing, post-acute care, healthcare, or long-term care experience highly preferred.
Comfort discussing account balances, financial responsibilities, and payment expectations with residents, families, and responsible parties.
Strong attention to detail with billing, documentation, deposits, reconciliation, deadlines, and follow-up.
Ability to manage multiple priorities in a fast-paced environment.
Strong organizational skills and the ability to monitor open items through completion.
A self-directed work style with strong accountability, urgency, and follow-through.
Confidence supervising and scheduling a customer-facing team.
Excellent customer-service skills with compassion, patience, and professionalism.
Ability to communicate clearly, directly, and respectfully with residents, families, leaders, vendors, and team members.
A positive, solution-focused approach with the ability to remain professional under pressure.
Strong computer skills, including Microsoft Office and the ability to learn new business office systems.

Education & Credentials

High school diploma or equivalent required.
Post-high school clerical training, business coursework, or a degree with a business emphasis preferred.
At least one year of administrative or business office experience required.
Healthcare, senior living, skilled nursing, or post-acute business office experience strongly preferred.
Medicare and Medicaid experience strongly preferred.

Why Hillcrest?

The Business Office Manager is an important part of the Hillcrest Firethorn leadership and operations team.

Your work will help ensure billing is accurate, financial follow-up is completed, guests and families receive clear communication, and key business office processes remain organized and on schedule.

This is a strong opportunity for someone who enjoys responsibility, variety, and ownership. You will have the ability to make a direct impact on residents, families, team members, and the overall success of the community.

What Hillcrest Offers

Competitive compensation.
Multiple health insurance plan options.
Vision, dental, and life insurance.
Professional development support, including tuition reimbursement, certifications, and career-growth programs.
Dayforce Wallet, allowing you to choose when you get paid.
Gym membership reimbursement and partner discounts.
Supportive leadership and a collaborative team environment.
Opportunities to grow within a mission-driven senior care organization.

Physical & Other Requirements

Must be able to speak, read, and write English.
Must be able to independently lift up to 35 pounds.
Must be able to perform repetitive sitting, bending, standing, walking, and movement as needed.
Must be flexible, calm, and professional in stressful or changing situations.
Must be able to work in a fast-paced environment with strong attention to detail.
Must be able to utilize technology, office systems, and business resources efficiently and effectively.
Must be able to maintain confidentiality and appropriately handle sensitive financial, resident, and team-member information.
Other duties as assigned.

Ready to Take Ownership?

If you are a detail-oriented business office professional who is comfortable managing billing, accounts receivable, accounts payable, financial conversations, deadlines, and customer service, we invite you to apply for the Business Office Manager – Hillcrest Firethorn role.

Join Hillcrest Health & Living and help us continue inspiring people to live their best lives through accuracy, compassion, accountability, and dependable follow-through.

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